Individual
JENNY ALICIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
168 HENDRIX ST APT 4C, BROOKLYN, NY 11207-2600
(646) 339-0335
Mailing address
168 HENDRIX ST APT 4C, BROOKLYN, NY 11207-2600
(646) 339-0335
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024586
NY
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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